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三磷酸胞苷加地塞米松等综合治疗突发性聋的临床观察
摘    要:

关 键 词:三磷酸胞苷  地塞米松  突发性耳聋  药物疗法  听力检查  CTP

Preliminary clinical study of application of cyntridini triphosphatis and dexamethasone in treatment of sudden deafness]
Authors:Wenlong Luo  Shixi Liu  Chuanyu Liang  Yang Liu  Cuiying Zhou  Qian Cao  Junbo Su
Affiliation:Department of Otorhinolaryngology Head and Neck Surgery, Affiliated Hospital of Chongqing University of Medical Sciences, Chongqing 400010, China. wenlongluo@163.net
Abstract:OBJECTIVE: To investigate the effect of application of cytridini triphosphatis (CTP) combined with dexamethasone on sudden deafness. METHODS: Two-hundred and seven patients (312 ears) with sudden deafness were randomly divided into CTP group (n = 159 ears) and control group (n = 153 ears). Besides intravenous administration of CTP, another treatments in CTP group were the same as that in control group including hyperbaric oxygen, vasodilator, energy preparation such as ATP, CoA and dexamethasone (DXM). RESULTS: The hearing threshold was (75.56 +/- 30.24) dB HL in CTP group and (72.50 +/- 40.50)dB HL in control group (P > 0.05) before treatment. The average value of the hearing threshold after treatment was decreased by (50.08 +/- 21.47) dB HL in CTP group and (19.45 +/- 19.12) dB in control group(P < 0.05), respectively. CONCLUSION: The application of CTP combined with DXM can significantly improve the effect of treatment on sudden deafness and CTP may enhance the recovery rate in the patients with sudden deafness, which was much higher than that treated by the traditional methods. However, the mechanism of the effect of CTP coupled with DXM is still unknown and further study is necessary.
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